根据身体成分分析的萨尔科佩尼亚和萨尔科佩尼肥胖症是严重急性胰腺炎死亡率的重要预测因素:一项纵向观察性研究
Robert Farquhar1, Scott Matthews2, Nesta Baxter3
1School of Medical Education, Newcastle University, Newcastle Upon Tyne, UK. r.farquhar@nhs.net.
World journal of surgery
|August 4, 2023
概括
在严重的急性胰腺炎 (SAP) 患者中,sarcopenia和sarcopenic肥胖是常见的. 肥胖症是死亡率的关键预测因素,突出体质成分分析在SAP中进行风险评估.
科学领域:
- 医学科学 医学科学 医学科学
- 临床营养学 临床营养学
- 胃肠病学 胃肠病学
背景情况:
- 严重的急性胰腺炎 (SAP) 带来了重大挑战,身体组成的变化,如肉症和肉性肥胖症被研究不足.
- 在SAP中了解肉症的流行率和影响对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定不同时间点在SAP患者中 Sarcopenia 和 Sarcopenic 肥胖症的患病率.
- 为了调查萨科佩尼亚,萨科佩尼肥胖症和SAP患者的死亡率之间的关联.
主要方法:
- 在2015-2019年期间,对患有器官衰竭的SAP患者进行前性分析.
- 在CT扫描上使用IMAGE J软件对萨尔科佩尼亚的评估.
- 收集关于胰腺炎后并发症和死亡率的数据.
主要成果:
- 在入院时,肉类的患病率很高 (79%),在3个月后增加到99%.
- 在入院时,在67/111名 (60%) 的sarcopenic患者中存在sarcopenic肥胖症.
- 死亡率明显高于sarcopenic患者 (35.14%) 和那些有sarcopenic肥胖症 (45%) 在入院时.
结论:
- 麻症和麻性肥胖症在SAP患者中非常普遍.
- 在SAP中,sarcopenic肥胖是死亡率的重要预测因素.
- 身体成分分析可以作为SAP中死亡率的有价值的预测标记.
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